BENJAMIN FOREST PLUCKNETTE DO - Medical Doctor License in Texas | # 036147240

BENJAMIN FOREST PLUCKNETTE DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147240

License Status

NOT RENEWED

Business

N

Title

DO

First Name

BENJAMIN

Middle

FOREST

Last Name

PLUCKNETTE

Business Name

BENJAMIN FOREST PLUCKNETTE DO

Original Issue Date

08/16/2018

Effective Date

08/16/2018

Expiration Date

09/30/2020

State

TX

Ever Disciplined

N

LastModifiedDate

01/14/2021